What days and times are you available for ongoing individual therapy sessions? (check all that apply)

Daytime (9 a.m. - 5 p.m.)

After hours (5 p.m. - 9 p.m.)

Saturdays (9 a.m. - 3 p.m.)

Is interest in our services in relation to any court-related issues?*

Yes

No

If parents are separating or divorces, are both parents in agreement to access our services?*

Yes

No

Not applicable

Additional Comments

Out-of-Network*

By checking this box, I understand that Spectra Therapies is out-of-network and does not accept any insurance. More information on how to find out about your insurance out-of-network benefits is provided under About Us.